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psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review
December 21, 2014 - Review
Emerging Classic
Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.
Citation Text:
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…
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psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
January 23, 2012 - Study
Classic
High-reliability health care: getting there from here.
Citation Text:
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023.
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psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
May 11, 2022 - Review
Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review.
Citation Text:
Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…
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psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions
August 11, 2021 - Review
Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis.
Citation Text:
Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …
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psnet.ahrq.gov/issue/changing-working-while-sick-culture
March 14, 2018 - Commentary
Changing the "working while sick" culture.
Citation Text:
Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094.
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psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
April 13, 2022 - Study
Classic
Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance.
Citation Text:
Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …
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psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
January 25, 2023 - Review
Variation in detected adverse events using trigger tools: a systematic review and meta-analysis.
Citation Text:
Eggenschwiler LC, Rutjes AWS, Musy SN, et al. Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. PLoS ONE. 2022;17(9):e0273…
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psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
April 06, 2022 - Study
A recent two-fold increase in medical adverse event deaths among US inpatients.
Citation Text:
Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935.
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psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall
December 08, 2021 - Commentary
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home.
Citation Text:
Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …
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psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
November 18, 2020 - Review
A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.
Citation Text:
St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…
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psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
August 11, 2010 - Study
Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications.
Citation Text:
Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of …
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psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
March 30, 2022 - Study
How health systems decide to use artificial intelligence for clinical decision support.
Citation Text:
Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…
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psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them
July 22, 2020 - Commentary
Emerging Classic
Trust and medical AI: the challenges we face and the expertise needed to overcome them.
Citation Text:
Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…
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psnet.ahrq.gov/issue/radiation-oncology-specific-automated-trigger-indicator-tool-high-risk-near-miss-safety
October 14, 2020 - Study
A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events.
Citation Text:
Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat On…
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psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
September 20, 2011 - Commentary
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Citation Text:
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
June 03, 2010 - Review
Implementing patient safety interventions in your hospital: what to try and what to avoid.
Citation Text:
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…
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psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
February 17, 2011 - Study
Classic
Improving patient safety in intensive care units in Michigan.
Citation Text:
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…
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psnet.ahrq.gov/issue/towards-conceptualizing-patients-partners-health-systems-systematic-review-and-descriptive
February 10, 2021 - Review
Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis.
Citation Text:
Vanstone M, Canfield C, Evans C, et al. Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. Heal…
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psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
November 18, 2020 - Commentary
Organizational learning: health care leaders need to design structures and processes that enhance collective learning.
Citation Text:
Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35.
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psnet.ahrq.gov/issue/patient-participation-patient-safety-exploration-promoting-factors
October 15, 2016 - Study
Emerging Classic
Patient participation in patient safety—an exploration of promoting factors.
Citation Text:
Sahlström M, Partanen P, Azimirad M, et al. Patient participation in patient safety-An exploration of promoting factors. J Nurs Manag. 2019;27(1):8…